SUSAN WICKE, MD
NPI 1629121223
Clinic/Center - Medical Specialty in Durham, NC
NPI Status: Active since January 19, 2007
Contact Information
112 SWIFT AVE
DURHAM, NC
ZIP 27705
Phone: (919) 493-3932
Fax: (919) 493-3932
- Organization
- Clinic/Center
- Medical Specialty
About SUSAN WICKE, MD
This page provides the complete NPI Profile along with additional information for Susan Wicke, Md, a provider established in Durham, North Carolina operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1629121223 assigned on January 2007. The practitioner's primary taxonomy code is 261QM2500X with license number 36618 (NC). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Susan Wicke, Md. The authorized official of this NPI record is Dr. Susan Holly Wicke M.d. (Psychiatrist)
- NPI
- 1629121223
- Provider Legal Name
- SUSAN WICKE, MD, PC
- Other Organization Name
- SUSAN WICKE, MD
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 112 SWIFT AVE DURHAM, NC 27705
- Location Phone
- (919) 493-3932
- Location Fax
- (919) 493-3932
- Mailing Address
- 112 SWIFT AVENUE DURHAM, NC 27705
- Mailing Phone
- (919) 493-3932
- Mailing Fax
- (919) 493-3932
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-19-2007
- Last Update Date
- 08-23-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- License No.
- 36618
- License State
- NC
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
130949 | OTHER (01) | NC | CIGNA BEHAVIORAL HEALTH |
F58331 | MEDICARE UPIN (02) | NC | |
87341 | OTHER (01) | NC | BCBSNC PROVIDER NUMBER |
2188551A | MEDICARE ID-TYPE UNSPECIFIED (04) | NC |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 6 | 2 | 9 | 1 | 2 | 1 | 2 | 2 | 3 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 4 | 9 | 2 | 2 | 2 | 2 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 4 + 9 + 2 + 2 + 2 + 2 + 4 + 24 = 57 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 57 = 3 | 3 |
The NPI number 1629121223 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1720060627 | ELIZABETH A. SHAW PH.D Individual | Psychologist | 112 SWIFT AVE DURHAM, NC 27705 (919) 824-2480 |
1982787925 | FRANCES B PARADINE MSW, LCSW Individual | Counselor (Mental Health) | 112 SWIFT AVE DURHAM, NC 27705 (919) 602-1613 |
1285777581 | DAVID F NAFTOLOWITZ M.D. Individual | Psychiatry & Neurology (Psychiatry) | 112 SWIFT AVE DURHAM, NC 27705 (919) 416-9656 |
1356586341 | ELIZABETH MUNRO NORMAN M.ED. LMFT Individual | Marriage & Family Therapist | 112 SWIFT AVE DURHAM, NC 27705 (919) 698-9257 |
1912063900 | DR. SUSAN HOLLY WICKE M.D. Individual | Psychiatry & Neurology (Psychiatry) | 112 SWIFT AVE DURHAM, NC 27705 (919) 308-6076 |
1356721765 | CAROLINA COUNSELING AND LIFE COACHING PLLC Organization | Social Worker (Clinical) | 112 SWIFT AVE DURHAM, NC 27705 (919) 967-2632 |
1912370891 | VIVIAN BUHRMAN LCSW PLLC Organization | Social Worker (Clinical) | 112 SWIFT AVE DURHAM, NC 27705 (919) 435-2087 |
1841671302 | JEHANNE M GHEITH LCSW Individual | Social Worker (Clinical) | 112 SWIFT AVE DURHAM, NC 27705 (919) 452-9286 |
1144770876 | LOSS INTO TOPAZ: COUNSELING SPECIALIZING IN GRIEF AND PET LOSS, PLLC Organization | Social Worker (Clinical) | 112 SWIFT AVE DURHAM, NC 27705 (919) 452-9286 |
1821536921 | DAVID F NAFTOLOWITZ MD PC Organization | Clinic/Center (Adult Mental Health) | 112 SWIFT AVE DURHAM, NC 27705 (919) 416-9656 |
1326587361 | PHYSICIAN ASSISTED WELLNESS, PLLC Organization | Family Medicine | 112 SWIFT AVE DURHAM, NC 27705 (336) 543-0566 |
1255431763 | MS. VIVIAN BUHRMAN LCSW Individual | Social Worker (Clinical) | 112 SWIFT AVE DURHAM, NC 27705 (919) 435-9193 |
1679694996 | DR. JONATHAN L. SHELINE MD, MS Individual | Family Medicine | 112 SWIFT AVE DURHAM, NC 27705 (919) 336-0566 |
1326260001 | DR. MIRIAM KEHINDE EHRENSAFT PH.D. Individual | Psychologist (Clinical Child & Adolescent) | 112 SWIFT AVE DURHAM, NC 27705 (919) 704-7494 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629121223, enumerated in the NPI registry as an "organization" on January 19, 2007
The provider is located at 112 Swift Ave Durham, Nc 27705 and the phone number is (919) 493-3932
This medical organization specializes in Clinic/Center with taxonomy code 261QM2500X with a focus in Medical Specialty
The provider might be accepting Accepts: Cigna, Medicare, Medicaid and Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on January 19, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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